Enhancement of Oncology Nursing Education in Low- and Middle-income Countries
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1 ISNCC - Strengthening the Oncology Nursing Workforce in LMICs to Address the Growing Cancer Burden Enhancement of Oncology Nursing Education in Low- and Middle-income Countries Winnie SO PhD RN President Session ID: 46-T2 I have nothing to disclose.
2 Presentation Highlights WHY educated nurses can contribute to cancer control? WHAT are the challenges to oncology nursing education in LMICs? HOW to strengthen oncology nursing education in LMICs?
3 Presentation Highlights WHY educated nurses can contribute to cancer control? WHAT are the challenges to oncology nursing education in LMICs? HOW to strengthen oncology nursing education in LMICs?
4 Cancer Burden in Low- and Middle- Income Countries New Cancer Case World LMIC million 6.7 million (44.1%) million 11.2 million (46.7%) Cancer Death World LMIC million 4.8 million (53.9%) million 8.3 million (56.8%) GLOBOCAN, 2012
5 World Cancer Declaration 2013 Overarching Goal There will be major reductions in premature deaths from cancer, and improvements in quality of life and cancer survival rates. UICC, 2016
6 World Cancer Declaration 2013 Strengthen health systems for cancer control Universal coverage of HPV/HBV vaccination Improve access to services across the care continuum Measure cancer burden & impact of cancer plans Reduce stigma & dispel myths Universal availability of pain & distress management Reduce exposure to cancer risk factors Universal access to screening & early detection Improve education & training of professionals UICC, 2016
7 World Cancer Declaration 2013 Strengthen health systems for cancer control Universal coverage of HPV/HBV vaccination Improve access to services across the care continuum Measure cancer burden & impact of cancer plans Reduce stigma & dispel myths Universal availability of pain & distress management Reduce exposure to cancer risk factors Universal access to screening & early detection Improve education & training of professionals UICC, 2016
![Global Action Plan for NCDs WHO recommended that nations [optimize] the scope of nurses and allied health professionals practice](/docs-images/87/96173879/images/8-3.jpg "to contribute to the prevention and control of noncommunicable disease, including addressing barriers to that contribution.")
8 Global Action Plan for NCDs WHO recommended that nations [optimize] the scope of nurses and allied health professionals practice to contribute to the prevention and control of noncommunicable disease, including addressing barriers to that contribution. WHO, 2013
9 Importance of Oncology Nursing Education in Reducing the Cancer Burden Hui et al., 2015 Kim et al., 2011 Park, Bae, Jung, & Kim, 2012 Prevention Early Detection Treatment & Symptom Management Survivorship Mutebi, Wasike, Mushtaq, Kahie, & Ntoburi, 2013 Rice, Hartmann- Boyce, & Stead, 2013 Chan, Richardson, & Richardson, 2011 Coolbrandt et al., 2014
10 Importance of Oncology Nursing Education in Reducing the Cancer Burden Hui et al., 2015 Kim et al., 2011 Park, Bae, Jung, & Kim, 2012 Prevention Early Detection Treatment & Symptom Management Survivorship Mutebi, Wasike, Mushtaq, Kahie, & Ntoburi, 2013 Rice, Hartmann- Boyce, & Stead, 2013 Chan, Richardson, & Richardson, 2011 Coolbrandt et al., 2014
11 Importance of Oncology Nursing Education in Reducing the Cancer Burden Hui et al., 2015 Kim et al., 2011 Park, Bae, Jung, & Kim, 2012 Prevention Early Detection Treatment & Symptom Management Survivorship Mutebi, Wasike, Mushtaq, Kahie, & Ntoburi, 2013 Rice, Hartmann- Boyce, & Stead, 2013 Chan, Richardson, & Richardson, 2011 Coolbrandt et al., 2014
12 Importance of Oncology Nursing Education in Reducing the Cancer Burden Hui et al., 2015 Kim et al., 2011 Park, Bae, Jung, & Kim, 2012 Prevention Early Detection Treatment & Symptom Management Survivorship Mutebi, Wasike, Mushtaq, Kahie, & Ntoburi, 2013 Rice, Hartmann- Boyce, & Stead, 2013 Chan, Richardson, & Richardson, 2011 Coolbrandt et al., 2014
13 Presentation Highlights WHY educated nurses can contribute to cancer control? WHAT are the challenges to oncology nursing education in LMICs? HOW to strengthen oncology nursing education in LMICs?
14 Challenges to Oncology Nursing Education, Training and Practice 1 Lack of educational pathways for specialization in oncology nursing
15 Challenges to Oncology Nursing Education, Training and Practice 2 Lack of legislation to consolidate training pathways for specialized nursing roles
16 Challenges to Oncology Nursing Education, Training and Practice 3 Insufficiency of continuing education
17 Challenges to Oncology Nursing Education, Training and Practice 4 Challenges in recruiting professionals to oncology nursing due to practice environment
18 Challenges to Oncology Nursing Education, Training and Practice Lack of educational pathways Lack of legislation Insufficient continuing education Challenges in recruiting professionals
19 Presentation Highlights WHY educated nurses can contribute to cancer control? WHAT are the challenges to oncology nursing education in LMICs? HOW to strengthen oncology nursing education in LMICs?
20 Strategies to Strengthen Oncology Nursing Education in LMICs 1 Incorporate basic cancer content into pre-service nursing training curricula
21 Strategies to Strengthen Oncology Nursing Education in LMICs 2 Develop nursing faculties in LMICs
22 Strategies to Strengthen Oncology Nursing Education in LMICs 3 Establish a mechanism for sharing oncology nursing programme between LMICs and HICs
23 Strategies to Strengthen Oncology Nursing Education in LMICs 4 Promote the involvement of cancer-related international organizations
24 Strategies to Strengthen Oncology Nursing Education in LMICs 5 Require organizations to follow best practices
25 Strategies to Strengthen Oncology Nursing Education in LMICs 6 Ensure programme sustainability through high-level in-country involvement and interdisciplinary collaboration
26 Strategies to Strengthen Oncology Nursing Education in LMICs Include basic cancer content in nursing curricula Develop nursing faculties Establish a mechanism to share nursing programme Involvement of international organizations Follow best practice Ensure in-country collaboration
27 Summary Oncology nursing education in LMICs should be further developed, in responding to the increasing cancer burden in these countries
28 Summary Include basic cancer content in training Develop nursing faculties Share oncology nursing programme Involvement of international organizations Strategies Follow best practice Ensure in-country collaboration
29 Summary With the support from physicians, policy makers and governmental officials of LMICs, these recommendations would be implemented to enhance the specialized training of oncology
30 THANK YOU! Winnie SO President
31 References Chan, C. W., Richardson, A., & Richardson, J. (2011). Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial. Journal of Pain and Symptom Management, 41(2), doi: /j.jpainsymman Coolbrandt, A., Wildiers, H., Aertgeerts, B., Van der Elst, E., Laenen, A., Dierckx de Casterle, B.,... Milisen, K. (2014). Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 51(3), doi: /j.ijnurstu GLOBOCAN. (2012). Fact sheets by population. Retrieved from Hui, A. J., Lau, J. Y., Lam, P. P., Chui, A. O., Fan, A. S., Lam, T. Y.,... Sung, J. (2015). Comparison of colonoscopic performance between medical and nurse endoscopists: a non-inferiority randomised controlled study in Asia. Gut, 64(7), doi: /gutjnl Kim, S. H., Shin, M. S., Lee, H. S., Lee, E. S., Ro, J. S., Kang, H. S.,... Yun, Y. H. (2011). Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncology Nursing Forum, 38(2), E97-E106. doi: /11.onf.e97-e106
32 References Mutebi, M., Wasike, R., Mushtaq, A., Kahie, A., & Ntoburi, S. (2013). The effectiveness of an abbreviated training program for health workers in breast cancer awareness: innovative strategies for resource constrained environments. Springerplus, 2, 528. doi: / Park, J. H., Bae, S. H., Jung, Y. S., & Kim, K. S. (2012). Quality of life and symptom experience in breast cancer survivors after participating in a psychoeducational support program: A pilot study. Cancer Nursing, 35(1), E34-E41. doi: /ncc.0b013e a Rice, V. H., Hartmann-Boyce, J., & Stead, L. F. (2013). Nursing interventions for smoking cessation. Cochrane Database Systematic Review, 8, CD doi: / cd pub4 UICC. (2016). World cancer declaration. Retrieved from WHO. (2013). Global action plan for the prevention and control of NCDs Retrieved from
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